Transposition of the great vessels historical perspective

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]; Keri Shafer, M.D. [4]; Kristin Feeney, B.S. [5]

Overview

The TGA was first described in 1797 by Matthew Baillie as a “singular malformation”. The word transposition was coined by Farre in 1814.

The TGA was first described in 1797 by Matthew Baillie as a “singular malformation”.^[1]^[2]^[3]^[4]
In 1814 Farre described it as transposition.
No treatment was available until the middle of the 20th century.
In the 1950s, surgical atrial septectomy was developed followed by balloon atrial septostomy in the 1960s. These surgical therapies were not curative, but were palliative. They were later followed by physiological procedures.
Today, the survival rate for infants with TGA is greater than 90%.


Major Historical Events in TGA
Year	Author	Contribution
1797	Baillie	First morphological description of TGA
1814	Farre	First used the term TGA
1948	Hanlon and Blalock	Artirial septectomy
1953	Lilehei and Varco	Partial venous switch
1955	Thomas Baffes	Baffes operation
1957	Ake Senning	Atrial switch using atrial flaps
1963	Wiliam Mustard	Atrial switch using pericardium
1966	Rashkind and Miler	Introduced balloon atrial septostomy
1975	Jatene	Successful arterial switch
1976	Magdi Yocoub	Left ventricular training and arterial switch
1981	Lecompte	Lecompte maneuver
1984	Castenada	Neonatal arterial switch
1989	Jonas	Rapid two stage arterial swtich

↑ Van Praagh R, Perez-Trevino C, Lõpez-Cuellar M, Baker FW, Zuberbuhler JR, Quero M, Perez VM, Moreno F, Van Praagh S (December 1971). “Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves”. Am. J. Cardiol. 28 (6): 621–31. doi:10.1016/0002-9149(71)90049-x. PMID 5124722.
↑ Hanlon CR, Blalock A (March 1948). “Complete Transposition of the Aorta and the Pulmonary Artery: Experimental Observations on Venous Shunts as Corrective Procedures”. Ann. Surg. 127 (3): 385–97. doi:10.1097/00000658-194803000-00001. PMC 1513835. PMID 17859086.
↑ BLALOCK A, HANLON CR (January 1950). “The surgical treatment of complete transposition of the aorta and the pulmonary artery”. Surg Gynecol Obstet. 90 (1): 1–15, illust. PMID 15396549.
↑ Weldon CS (April 1987). “The Blalock-Hanlon operation”. Ann. Thorac. Surg. 43 (4): 448–9. doi:10.1016/s0003-4975(10)62834-2. PMID 3551863.